North American Partners in Anesthesia

Auditor

• Audit medical records to identify missed charges, incorrect coding, and other inconsistencies that result in missed billing opportunities.
• Perform Root Cause Analyses and report findings that identify common issues, including over-coding, under-coding and missed billing opportunities.
• Retrieves any missing patient information and documentation required for billing.
• Complete coding of unbilled records identified through audits.
• Prepare reports, executive summaries, and examples of audit findings for presentation and educational purposes.
• Assist with Clinical Documentation recommendation, coding guidance research, and the development of coding educational documents.
• Conduct ad-hoc audits as needed to provide root cause analysis and recommendations for resolution.
• Pre-payment audit: review billing vs documentation, send documentation to the payer, complete necessary charge corrections, and/or identify CDI (Clinical Documentation Improvement) opportunities.
• Provide resolution of missing documentation tasks. Retrieve or request necessary documents, code for billing, and data entry.
• Provide coding support to cross-functional team inquiries and special projects.

Auditor, Revenue Optimization